Characteristics of injured children attending the emergency department: patients potentially in need of rehabilitation

Sturms, Leontien M.; Sluis, Corry K. van der; Groothoff, Johan W.; Duis, H. J. ten; Eisma, W.H.

doi:10.1191/0269215502cr466oa

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…Because none of these studies documented the total number of patients visiting the hospitals during the study period with fracture rate of the total group, it is unclear if selection bias has falsely increased fracture rate in some studies, or if there are quite regional differences in fracture prevalence or different practices for ordering x-ray. Fracture rate has been described in literature between 20–50% [ 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound for Distal Forearm Fracture: A Systematic Review and Diagnostic Meta-Analysis

et al. 2016

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Study ObjectiveTo determine the diagnostic accuracy of ultrasound for detecting distal forearm fractures.MethodsA systematic review and diagnostic meta-analysis was performed according to the PRISMA statement. We searched MEDLINE, Web of Science and the Cochrane Library from inception to September 2015. All prospective studies of the diagnostic accuracy of ultrasound versus radiography as the reference standard were included. We excluded studies with a retrospective design and those with evidence of verification bias. We assessed the methodological quality of the included studies with the QUADAS-2 tool. We performed a meta-analysis of studies evaluating ultrasound to calculate the pooled sensitivity and specificity with 95% confidence intervals (CI95%) using a bivariate model with random effects. Subgroup and sensitivity analysis were used to examine the effect of methodological differences and other study characteristics.ResultsOut of 867 publications we included 16 studies with 1,204 patients and 641 fractures. The pooled test characteristics for ultrasound were: sensitivity 97% (CI95% 93–99%), specificity 95% (CI95% 89–98%), positive likelihood ratio (LR) 20.0 (8.5–47.2) and negative LR 0.03 (0.01–0.08). The corresponding pooled diagnostic odds ratio (DOR) was 667 (142–3,133). Apparent differences were shown for method of viewing, with the 6-view method showing higher specificity, positive LR, and DOR, compared to the 4-view method.ConclusionThe present meta-analysis showed that ultrasound has a high accuracy for the diagnosis of distal forearm fractures in children when used by proper viewing method. Based on this, ultrasound should be considered a reliable alternative, which has the advantages of being radiation free.

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Section: Discussionmentioning

confidence: 99%

Ultrasound for Distal Forearm Fracture: A Systematic Review and Diagnostic Meta-Analysis

et al. 2016

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“…[38][39][40][41] Perhaps children who sustained only minor injuries did not seek treatment in the ED. Community-level data to explore this possibility was not, however, collected in the GCUIS study.…”

Section: Special Theme -Childhood Injuries and Violence Unintentionalmentioning

confidence: 99%

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

Hyder

Sugerman

Puvanachandra

et al. 2009

Bull World Health Org

196

158

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Objective To determine the frequency and nature of childhood injuries and to explore the risk factors for such injuries in low-income countries by using emergency department (ED) surveillance data. Methods This pilot study represents the initial phase of a multi-country global childhood unintentional injury surveillance (GCUIS) project and was based on a sequential sample of children < 11 years of age of either gender who presented to selected EDs in Bangladesh, Colombia, Egypt and Pakistan over a 3-4 month period, which varied for each site, in 2007. Findings Of 1559 injured children across all sites, 1010 (65%) were male; 941 (60%) were aged ³ 5 years, 32 (2%) were < 1 year old. Injuries were especially frequent (34%) during the morning hours. They occurred in and around the home in 56% of the cases, outside while children played in 63% and during trips in 11%. Of all the injuries observed, 913 (56%) involved falls; 350 (22%), road traffic injuries; 210 (13%), burns; 66 (4%), poisoning; and 20 (1%), near drowning or drowning. Falls occurred most often from stairs or ladders; road traffic injuries most often involved pedestrians; the majority of burns were from hot liquids; poisonings typically involved medicines, and most drowning occurred in the home. The mean injury severity score was highest for near drowning or drowning (11), followed closely by road traffic injuries (10). There were 6 deaths, of which 2 resulted from drowning, 2 from falls and 2 from road traffic injuries. Conclusion Hospitals in low-income countries bear a substantial burden of childhood injuries, and systematic surveillance is required to identify the epidemiological distribution of such injuries and understand their risk factors. Methodological standardization for surveillance across countries makes it possible to draw international comparisons and identify common issues.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

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“…13,42 KÇDKYS çalışmasında, hastaneye yatışı gerektiren ağır yaralanma yükü (%27) daha önceki çalışmalardan (%2-10) daha yüksek bulunmuştur. 13, [43][44][45][46] Belki de hafif yaralanması olan çocukların, acil servislerde tedavi gereksinimi olmamış olabilir. Ancak KÇDKYS çalışmasında bu olasılığa ilişkin toplum-düzeyi verileri toplanamamıştır.…”

Section: çOcukluk Dönemi Yaralanmaları Neden öNemlidir?unclassified

M.Soner Yılmaz a, Birgül Piyal b

Yılmaz¹,

Piyal²

2015

Türkiye Halk Sağlığı Dergisi

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Dünya Sağlık Örgütü ve Birleşmiş Milletler Çocuk Fonu'nun bir raporuna ( 2008) göre, her gün 2000'den fazla çocuk, kasıtsız ya da kaza ile yaralanmalar sonucu ölmekte ve dünya genelinde her yıl milyonlarca çocuk genellikle kendilerini yaşam boyu engelli bırakacak kaza ve yaralanmalar dolayısıyla hastaneye kaldırılmaktadır. Çocuk Yaralanmalarının Önlenmesi Dünya Raporu; Çocukluk döneminde meydana gelen kazalarla ilgili kapsamlı, ilk küresel değerlendirme niteliğindeki rapor olup, bu tür yaralanmaların önlenmesinin yollarına da atıfta bulunmaktadır. Raporda ulaşılan sonuca göre, her yerde etkisi kanıtlanmış önlemlere başvurulması halinde, her gün en az 1000 çocuğun yaşamı kurtarılabilir. Bu derleme ile özellikle düşük ve orta gelirli ülkelerde önemli bir yük oluşturan çocukluk dönemi kasıtsız yaralanmalarına yönelik öncül çalışmaların özetlenmesi amaçlanmaktadır.

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Characteristics of injured children attending the emergency department: patients potentially in need of rehabilitation

Cited by 5 publications

References 35 publications

Ultrasound for Distal Forearm Fracture: A Systematic Review and Diagnostic Meta-Analysis

Ultrasound for Distal Forearm Fracture: A Systematic Review and Diagnostic Meta-Analysis

Global childhood unintentional injury surveillance in four cities in developing countries: a pilot study

M.Soner Yılmaz a, Birgül Piyal b

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